Individual provider Active NPI

Shane Joyer, OT

  • Occupational Therapist
  • San Diego, CA
National Provider Identifier
1376425926
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
27962 Issued in CA
Practice address
2495 Truxtun Rd Ste 200
San Diego, CA 92106-6159
Phone
(858) 755-5200
Fax
(619) 223-2307
NPI assigned
Jul 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 27962 CA Primary

Addresses

Primary practice location

2495 Truxtun Rd Ste 200
San Diego, CA 92106-6159

Mailing address

2495 Truxtun Rd Ste 200
San Diego, CA 92106-6159
Phone (858) 755-5200

Other practice location 1

4101 30th St Ste B
San Diego, CA 92104-1905
Phone (858) 755-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250822001886 CA Practitioner - Occupational Therapist in Private Practice 8325548571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Rise Physical Therapy IncGroup PAC ID 2062636079, 55 clinicians

Practice addresses (Care Compare)

2495 Truxtun Rd
Suite 200
San Diego, CA 92106-6159
Phone (858) 755-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Physical Therapy Inc CurrentSince Jul 16, 2025 Accepting new patients

Locations

5360 Jackson Dr
Ste 110
La Mesa, CA 91942
Phone (619) 667-7000

4101 30th St
#B
San Diego, CA 92104
Phone 858755520021

2495 Truxtun Rd
Ste 200
San Diego, CA 92106
Phone (619) 814-5500

380 Stevens Ave
Ste 314
Solana Beach, CA 92075
Phone 858755520024

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1376425926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 TRUXTUN RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066159",
            "telephone_number": "858-755-5200",
            "fax_number": "619-223-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 TRUXTUN RD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066159",
            "telephone_number": "858-755-5200",
            "fax_number": "619-223-2307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 30th St Ste B",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921041905",
            "country_code": "US",
            "telephone_number": "858-755-5200",
            "fax_number": "619-817-8503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOYER",
        "first_name": "SHANE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "27962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.